Class III
,
Anterior crossbite
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class III
,
Distalization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
IPR
,
Implants

Treatment information

  • Age: 37
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class III
  • Anterior crossbite
  • Mandibular midline deviation
  • Midline shift
  • Crowding
  • Rotations

Use of:

  • Distalization
  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • IPR
  • Elastics: Class III
  • Implants
  • Optimized rotation attachment (G3) on Buccal 2.3 (UL3), Buccal 2.5 (UL5)
  • Optimized extrusion attachment (G3) on Buccal 1.4 (UR4), Buccal 2.4 (UL4), Lingual 2.4 (UL4)
  • Power ridge feature (G3) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Lingual 1.4 (UR4), Lingual 1.5 (UR5), Lingual 2.5 (UL5)
  • Optimized deepbite attachments for anchorage (G5) on Lingual 2.4 (UL4)
Courtesy of Dr T. Thanvarachorn 2019

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final
lower
right
front
left

Radiographs

ClinCheck treatment plan

video anterior
video right-left
video upper-lower

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 19 months

Number of aligners

  • Maxillary: 24 + 36 + 20 = 80
  • Mandibular: 24 + 36 + 20 = 80

Aligner wear time

  • 1-week

Comments

  • This is a Class III skeletal and dental case
  • My treatment plan was distalization on the lower molars
  • Use of Class III elastics
  • Control lower anterior torque by adding extra torque
  • Coincide the upper and lower midline

Retention

  • Maxillary:
  • Mandibular: